Severe head injury

1.Question-- A 11 years old has an acute onset of severely painful and swollen srotum. What should be the next step?

A. Rest and paraceamol

B. Nothing to be done except for counseling

C. Intravenous Vancomycin

D. Surgical exploration

E. Testicular biopsy

2.Question – In a restaurant, a 3 year old boy was found to be chocked. He was coughing. You were in the restaurant watching him. According to protocol, what you should do:

A. A blind finger sweep should be performed

B. If ineffective cough and unconscious then you should open the airway, give 5 rescue breaths and start CPR

C. If effective cough then you should open the airway, give 5 rescue breaths and start CPR

D. If ineffective cough and conscious then you should open the airway, give 5 rescue breaths and start CPR

E. If ineffective cough and unconscious then you should give 5 back blows and 5 abdominal thrusts

3.Question – A 4 year old boy had mild cold and cough for 2 days and when he woke up he had harsh stridor with barking cough. What is the most likely diagnosis:

A. Foreign body inhalation

B. Croup

C. Epiglottitis

D. Bacterial tracheitis

E. Retropharyngeal abscess

4.Question – Choose the right combination in causes of shock and its example:

A. Cardiogenic shock- myocarditis; Distributive- sepsis, Dissociative- severe anemia

B. Obstructive- cardiac tamponade, Hypovolaemic- burns, cardigenic- carbon monoxide

C. Cardiogenic shock- arrhythmias; Distributive- tension pneumothorax, Dissociative- severe anemia

D. Obstructive- tension pneumothorax , Hypovolaemic- gastroenteritis, Dissociative-- cardiomyopathy
E. Hypovolaemic-haemorrhage, Cardiogenic shock- myocarditis; Distributive- cardiomyopathy

5.Question – A 6 years old boy had an severe head injury. What is the right way to reduce raised intra cranial pressure.

A. Keep head in lateral position

B. keep head depressed by 30 degrees

C. Maintain high serum Na of >140 mol/l

D. Maintain co2 very high level

E.Maintain low serum osmolality